Aug 3, 2023 · Use VA Form 21-4142 to give us permission to obtain your personal information from a non-VA source like a private doctor or hospital.
People also ask
What is a VA form 4142?
Can the VA see my civilian medical records?
What is the VA authorization for release of medical information?
How do I authorize the VA to disclose my personal information?
RESPONDENT BURDEN: We need this information and your written authorization to obtain your treatment records to help us get the information required to process ...
4142 CFHT is a chromium-molybdenun alloy steel that has been hardened to 27 to 32 Rockwell C and is ready to use while still machinable and of exceedingly ...
21-4142. EXISTING STOCKS OF VA FORM 21-4142, SEP 2003,. WILL BE USED. 1. LAST NAME - FIRST NAME - MIDDLE NAME OF VETERAN (Type or print). 3. CLAIMANT'S NAME ...
Methadone Hydrochloride. Strength: 10 mg; Imprint: 54 142; Color: White; Shape: Round. View details. Pill 4142 logo White Oval is Multaq.
Jan 11, 2024 · It's exactly what the form title states, an authorization for release of your medical information so the VA can properly decide your claim. The ...
New language in an amendatory bill will be shown in bold; Language to be removed will be striken; Amendments made by the House will be blue; Amendments made by ...
4142 logo Pill White Oval 17mm - Pill Identifier - Drugs.com
www.drugs.com › Pill Identifier › Search
4142 logo Pill - white oval, 17mm. Generic Name: dronedarone. Pill with imprint 4142 logo is White, Oval and has been identified as Multaq 400 mg.
Home → VA Commonly Used Forms → VA Compensation and Pension Forms → VA Form 21-4142 - Authorization for Release of Information ...